Utilization Review Coordinator Resume

This is a free Utilization Review Coordinators Resume that covers objectives and tips to gets you the best Utilization Review Coordinators Jobs. The professional resume help and actions words will help you to write winning resumes. This curriculum vitae guide teach you how to write Utilization Review Coordinators Resume.

Usage: This sample of Utilization Review Coordinators Resume helps you to understand Utilization Review Coordinator Job Description, Utilization Review Coordinator Duties and write Utilization Review Coordinators Resume for free.

Contact Information:

Full name

Present and permanent addresses

Telephone numbers

Email address


Objective:

To obtain a position as a Utilization Review Coordinator with prominent Health sector or service industry in which a high-level of communication skills, organizational abilities and ability to lead a team experience can be utilized.

Education:

  • Practical Nursing Program, 1980, Western Oklahoma Area VO Tech Burns Flat, Okla
  • Certificate in Medical Secretary, 1976, Oklahoma State Tech Okmulgee, Okla

Experience:

St. Johns/Sapulpa Sapulpa, OK, October 2000 – Present

Director of Utilization Review

  • Case Management and Utilization Review to consist of Concurrent Review, Pre-certification, Retrospective Review, Discharge Planning and Social Service to provide assistance to patients and their families.
  • Converse with insurance companies to provide clinical review to substantiate admission and concurrent stay.
  • Referral Coordinator for Five Family Practice Practitioners. Critical Access Hospital Experience/Knowledge.
  • As a Admissions Manager, supervisor of admissions as well as all out-patients procedures to include verification of insurance/benefits management, pre-certification and the day to day operations of the department.

Cemara Health Inc. Tulsa, Okla August 1997 – September 2000

Utilization Review Manager/Case Manager

  • Pre-Certification, Concurrent, Retro-respective Review and Case Manager for Self-Insured companies.
  • Medical Claim Review and Re-pricing auditing. Workers-Compensation Liaison.
  • Department Manager and Office Manager. Billing and clerical support for Case Management.
  • Responsible for Pre-certification, Concurrent and Retro-Respective Reviews.

Related Resume Adverstiments